Calidad de Vida: a systematic review of quality of life in Latino cancer survivors in the USA
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REVIEW
Calidad de Vida: a systematic review of quality of life in Latino cancer survivors in the USA Cleo A. Samuel1,2 · Olive M. Mbah1 · Wendi Elkins1 · Laura C. Pinheiro3 · Mary Anne Szymeczek1 · Neda Padilla2 · Jennifer S. Walker4 · Giselle Corbie‑Smith5 Accepted: 11 May 2020 © Springer Nature Switzerland AG 2020
Abstract Background Cancer is the leading cause of death among Hispanics/Latinos. Thus, understanding health-related quality of life (HRQOL) needs among this diverse racial/ethnic group is critical. Using Ferrell’s multidimensional framework for measuring QOL, we synthesized evidence on HRQOL needs among Hispanic/Latino cancer survivors. Methods We searched MEDLINE/PubMed, EMBASE, CINAHL, and PsycINFO, for English language articles published between 1995 and January 2020, reporting HRQOL among Hispanic/Latino cancer survivors in the USA. Results Of the 648 articles reviewed, 176 met inclusion criteria, with 100 of these studies focusing exclusively on breast cancer patients and no studies examining end-of-life HRQOL issues. Compared with other racial/ethnic groups, Hispanics/Latinos reported lower HRQOL and a higher symptom burden across multiple HRQOL domains. Over 80% of studies examining racial/ethnic differences in psychological well-being (n = 45) reported worse outcomes among Hispanics/Latinos compared with other racial/ethnic groups. Hispanic/Latino cancer survivors were also more likely to report suboptimal physical well-being in 60% of studies assessing racial/ethnic differences (n = 27), and Hispanics/Latinos also reported lower social well-being relative to non-Hispanics/Latinos in 78% of studies reporting these outcomes (n = 32). In contrast, reports of spiritual well-being and spirituality-based coping were higher among Hispanics/Latinos cancer survivors in 50% of studies examining racial/ethnic differences (n = 15). Discussion Findings from this review point to the need for more systematic and tailored interventions to address HRQOL needs among this growing cancer survivor population. Future HRQOL research on Hispanics/Latinos should evaluate variations in HRQOL needs across cancer types and Hispanic/Latino subgroups and assess HRQOL needs during metastatic and end-of-life disease phases. Keywords Latino · Cancer survivor · Health-related quality of life · Supportive care
Background
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11136-020-02527-0) contains supplementary material, which is available to authorized users. * Cleo A. Samuel [email protected] 1
2
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, 1105F McGavran‑Greenberg Hall, CB# 7411, Chapel Hill, NC 27599‑7411, USA
Cancer is the leading cause of death among Hispanics/ Latinos [1]. In the USA in 2018, there were approximately 150,000 incident cancer cases and 43,000 cancer-related deaths among Latinos [2]. For Hispanic/Latino men, 3
Department of General Internal Medicine, Weill Cornell
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